Individual provider Active NPI

Kitty Josette Stogner, PT, ATP

  • Physical Therapist
  • Brandon, MS
National Provider Identifier
1104873363
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3204 Issued in MS
Practice address
521 Pelahatchie Shore Dr
Brandon, MS 39047-6282
Phone
(601) 613-7328
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3204 MS Primary
Physical Therapist 225100000X PTH4728 AL
Physical Therapist 225100000X PT7497 TN
Physical Therapist 225100000X TP#06987R LA

Addresses

Primary practice location

521 Pelahatchie Shore Dr
Brandon, MS 39047-6282

Mailing address

521 Pelahatchie Shore Dr
Brandon, MS 39047-6282
Phone (601) 613-7328

Other identifiers 1

IdentifierTypeStateIssuer
08056277MedicaidMS

Other names 1

  • Jodie Stogner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4728ALMDPhysical Therapist
TP#06987RLAMDPhysical Therapist
PT7497TNMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104873363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PELAHATCHIE SHORE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476282",
            "telephone_number": "601-613-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PELAHATCHIE SHORE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476282",
            "telephone_number": "601-613-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGNER",
        "first_name": "KITTY",
        "middle_name": "JOSETTE",
        "name_prefix": "Mrs.",
        "credential": "PT, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3204",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT7497",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "TP#06987R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08056277",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "STOGNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.